Exercise tst brncspsm w/ecg at Bayshore Medical Center
727 North Beers St., Holmdel, NJ · Hackensack Meridian Health · · NPI 1760994412
$142.67
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$837.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$137.27 with AETNA vs $910.00 with OXFORD — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| AETNA | MANAGED MEDICAID | $137.27 | ↓ -4% |
| WELLCARE | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $142.67 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $142.67 | ↑ +0% |
| VACCN | ALL PRODUCTS | $142.67 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $149.81 | ↑ +5% |
| CLOVER | MEDICARE ADVANTAGE | $150.66 | ↑ +6% |
| AETNA | MEDICARE ADVANTAGE | $155.51 | ↑ +9% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $156.52 | ↑ +10% |
| UNITED HEALTHCARE | DSNP | $171.21 | ↑ +20% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $492.99 | ↑ +246% |
| HORIZON | MANAGED MEDICAID | $509.65 | ↑ +257% |
| HORIZON | PIP | $539.87 | ↑ +278% |
| HORIZON | WORKERS COMP | $539.87 | ↑ +278% |
| HORIZON | OMNIA | $571.59 | ↑ +301% |
| BERGEN RISK | ALL PRODUCTS | $627.75 | ↑ +340% |
| QUALCARE | HMO | $650.35 | ↑ +356% |
| QUALCARE | PPO | $650.35 | ↑ +356% |
| AETNA | ASA | $655.37 | ↑ +359% |
| CIGNA | BH | $669.60 | ↑ +369% |
| HORIZON | SHP | $698.98 | ↑ +390% |
| HORIZON | HMO | $705.84 | ↑ +395% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $711.45 | ↑ +399% |
| HORIZON | INDEMNITY | $715.97 | ↑ +402% |
| AMERIHEALTH | LOCAL HMO | $719.15 | ↑ +404% |
| HORIZON | PPO | $722.50 | ↑ +406% |
| QUALCARE | WORKERS COMP | $736.56 | ↑ +416% |
| AETNA | PPO | $753.30 | ↑ +428% |
| AETNA | HMO | $753.30 | ↑ +428% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $753.30 | ↑ +428% |
| UNITED HEALTHCARE | HMO | $792.00 | ↑ +455% |
| CIGNA | PPO | $800.42 | ↑ +461% |
| CIGNA | HMO | $800.42 | ↑ +461% |
| AMERIHEALTH | REGIONAL HMO | $814.57 | ↑ +471% |
| OXFORD | ALL PRODUCTS | $910.00 | ↑ +538% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
| KARNA | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Exercise tst brncspsm w/ecg at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Hackensack University Medical Center | Hackensack | $151.80 | $121.44 – $5,456.00 |
| Ocean University Medical Center | Brick | $140.87 | $128.90 – $389.00 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $142.80 | $88.88 – $610.00 |
| Jersey Shore University Medical Center | Neptune City | $142.67 | $142.67 – $676.00 |
| Palisades Medical Center | North Bergen | $151.80 | $87.55 – $1,815.00 |
| Raritan Bay Medical Center | Perth Amboy | $142.80 | $111.10 – $464.00 |
| Riverview Medical Center | Red Bank | $142.67 | $142.67 – $1,550.00 |
| Southern Ocean Medical Center | Manahawkin | $140.87 | $140.87 – $392.00 |